SORE THROAT Flashcards
1
Q
sore throat key hx: timing
A
duration
2
Q
sore throat key hx: assoc sxs
A
fever other ENT sxs (ear pain, nasal or sinus congestion) odynophagia swollen glands cough chest pain SOB rash allergies sick contacts
3
Q
sore throat key hx: soc hx
A
HIV risk factors
4
Q
sore throat key PE
A
VS ENT (oral thrush, tonsillar exudate, LAD) lung abd (splenomegaly) skin exam
5
Q
infectious mononucleosis ddx
A
hepatitis
viral or bacterial pharyngitis
acute hiv infxn
secondary syphilis
6
Q
infectious mono w/u
A
cbc with differential and peripheral smear monospot test throat cx ast/alt/bilirubin/alk phos hiv ab and viral load anti-ebv ab vdrl/rpr
7
Q
acute HIV infxn ddx
A
infectious mono hepatitis viral pharyngitis strep tonsillitis/scarlet fever secondary syphilis
8
Q
acute HIV infxn w/u
A
cbc with differential and peripheral smear throat cx hiv ab and viral load cd4 count monospot test LFTs VDRL/RPR
9
Q
pharyngitis (bacterial or viral) ddx
A
Mycoplasma pneumonia
acute hiv infxn
infectious mono
10
Q
pharyngitis w/u
A
centor criteria throat swab for cx and rapid strep ag monospot cbc serologic test (cold agglutinin titer) for mycoplasma hiv ab and viral load